Search results
Results From The WOW.Com Content Network
Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [1] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...
Humana. Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. In 2023, the company ranked 42 on the Fortune 500 list, [2] which made it the highest ranked (by revenues) company based in Kentucky. It is the fourth largest health insurance provider in the U.S. [3]
In 2019, Medicare Advantage Organizations denied 13% of prior authorization requests that would have been accepted if the beneficiaries were in original Medicare. [16] In 2019 alone, Medicare Advantage plans cost tax-payers $9 billion more dollars than if beneficiaries were in original Medicare. [17]
Humana's benefit-expense ratio, or the percentage of payout on claims compared to its premiums, rose to 86.4% in the third quarter, from 85.3% a year ago. Analysts were expecting a ratio of 86.7% ...
Shares of Humana tumbled early Thursday after it said it was dealing with higher-than-expected care costs from its Medicare Advantage customers, forcing it to chop profit expectations. The update ...
Kathryn Gregory, Louisville Courier Journal. August 16, 2024 at 4:35 PM. Humana has agreed to pay $90 million to the federal government to settle a whistleblower lawsuit under the False Claims ...
HCA Healthcare, Inc. is an American for-profit operator of health care facilities that was founded in 1968. It is based in Nashville, Tennessee, and, as of May 2020, owned and operated 186 hospitals and approximately 2,400 sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics in 20 states and the United Kingdom. [6]
The FBI's 2023 cryptocurrency fraud report, released earlier this week, found that Americans lost $5.6 billion to crypto scammers last year. The massive figure represents a 45% increase from the ...